EFFECT OF ILEAL CONDUIT ON PATIENTS ACTIVITIES FOLLOWING RADICAL CYSTECTOMY
EFFECT OF ILEAL CONDUIT ON PATIENTS ACTIVITIES FOLLOWING RADICAL CYSTECTOMY
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DOI：
10.1016/0090-4295(91)80073-g
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发表时间：
1991-01-01
期刊：
影响因子：
2.1
通讯作者：
SMITH, DB
中科院分区：
文献类型：
--
作者：
BABAIAN, RJ;SMITH, DB
在过去的20个月里，110名在德克萨斯大学M。D.安德森癌症中心进行了调查，以评估回肠管道尿流改道对术后活动的影响。 术后，47.3%的患者非常活跃，34.5%中度活跃，18.2%久坐不动。 化疗和患者的性别被发现有统计学显着影响术后活动水平。 化疗导致非常活跃的患者从55.6%下降到27.9%，久坐患者从11.2%上升到30.2%（P = 0.005）。 73.9%的非化疗患者的活动水平没有差异。 51%的男性非常活跃，而女性只有19.1%，而女性比男性多20%的人适度活跃，13%的人久坐不动。 我们的经验表明，如果化疗的效果得到控制，回肠管道对活动没有显著的负面影响：82.6%的未接受化疗的患者活动没有变化或增加。
Over the last twenty months, 110 patients who have undergone a radical cystectomy for bladder cancer at The University of Texas M. D. Anderson Cancer Center were surveyed to assess the effect of an ileal conduit urinary diversion on postoperative activity. Postoperatively, 47.3 percent of the patients were very active, 34.5 percent were moderately active, and 18.2 percent were sedentary. Chemotherapy and the patient's gender were found to have a statistically significant effect on postoperative activity level. Chemotherapy resulted in a decrease of very active patients from 55.6 percent to 27.9 percent and an increase in sedentary patients from 11.2 percent to 30.2 percent (P = 0.005). No difference in activity levels was seen in 73.9 percent of the nonchemotherapy patients. Fifty-one percent of the men were very active as compared with only 19.1 percent of the women, whereas 20 percent more women than men were moderately active and 13 percent more were sedentary. Our experience indicates that the ileal conduit had no significant negative effect on activity if the effects of chemotherapy are controlled: 82.6 percent of the patients not receiving chemotherapy experienced either no change or an increase in their activity.